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C-peptide (Serum/Plasma) with High-Performance Liquid Chromatography (HPLC) Measurement

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of C-peptide, a byproduct of insulin production, in your blood. It helps assess how well your pancreas is making insulin.

Quick summary

["C-peptide levels can indicate insulin function and rule out diabetes-related insulin deficiency."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
13041-9
Short code
C peptide 2h p chal SerPl-mCnc
Synonyms
C peptide 2h p chal SerPl-mCnc
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order a C-peptide test to diagnose or monitor conditions like type 1 or type 2 diabetes, especially when insulin levels alone may not be sufficient. It can also help distinguish between insulin-dependent and insulin-independent causes of low blood sugar. Additionally, it may be used to evaluate pancreatic function in people with unexplained weight loss, nausea, or other symptoms of diabetes.

What Does the Test Measure?

C-peptide is released into the bloodstream along with insulin during digestion. Unlike insulin, C-peptide is not stored in the body, so its levels reflect real-time insulin production. Measured via HPLC, this test provides precise quantification of C-peptide mass concentration in your serum or plasma sample.

How Is the Test Performed?

A blood sample is drawn from a vein, typically in your arm. The sample is then processed and analyzed using high-performance liquid chromatography (HPLC), a method that separates and measures C-peptide molecules based on their chemical properties.

What Are Common Uses?

C-peptide testing is particularly useful in diagnosing diabetes when insulin levels are unclear. It can also help determine if insulin therapy is working effectively or if there’s a problem with insulin production. Some doctors use it to check for conditions like pancreatic cancer or other pancreatic disorders that may affect insulin secretion.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

C-peptide HPLC

Frequently asked questions

What does a high or low C-peptide level mean?
A high C-peptide level often means your pancreas is producing insulin on its own, which can be seen in type 2 diabetes or insulin resistance. A low level may suggest your pancreas isn’t making enough insulin, which could be linked to type 1 diabetes or other conditions affecting insulin production.
How long does it take to get results?
Results from a C-peptide HPLC test are typically available within 1 to 3 business days, depending on your lab’s processing times. Your healthcare provider will discuss the results with you during your follow-up visit.
Can I eat or drink before this test?
For most C-peptide tests, you may eat and drink normally before the blood draw unless your provider gives specific instructions. However, fasting may not be required, as C-peptide reflects ongoing insulin production rather than recent meals.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy